Douglas Berger psychiatrist in Tokyo is a fully bilingual Japanese/English American board-certified psychiatrist and Director of the Tokyo Meguro Counseling Center. Dr. Berger received his M.D. and psychiatry training from New York Medical College, and his Ph.D. from the Department of Psychosomatic Medicine at the Tokyo University School of Medicine.
Victim of sexual harassment? Never let abuse exist in a vacuum, always get help, call authorities, and call out the perpetrator. The social pressure itself will make most predators stand down. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Medical science is more fuzzy than Drs will admit. Not because they are lying, but mainly because they weren't taught and don't see the fuzzy nuances in the real science or the mechanisms how that specialty makes money by certain narratives that become unquestionable truth.
“I can’t stand failure so I don’t try” is common in depression. These persons need to see that depression causes low self-esteem which causes the fear of failure. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Persons often ask what therapy, meds, doses etc., they may need. Understandable, but there is only general info. Patients need to understand there is no data about THEM until we get it from trial and error of treatments. Us: https://t.co/W6SS4mUflN, https://t.co/urVpIxQD7G
Look carefully at what is required for the career path you want to go down. If the environment is tough are you tough enough? If the field requires obsessive detail are you detailed enough? If the job requires patient compassion are you patient & compassionate enough?
You have an ex-wife & young son you see 2x/mo, & a new wife and 2 yr-old who lives in another city but who is willing to live with you. Answer: Move back with new wife, don’t argue either and visit your son. Be patient because parental rights don’t matter much with teenagers.
Euphoria & racing thoughts, classic symptoms of (hypo)mania, just a side-effect of antidepressants, or just good things going on? Some patients can stay well like this, but keep an eye out for change to serious mania. Us: https://t.co/VOm63HtESZ, https://t.co/uaoP3ZdWvx
You have a 1 yr-old child, your wife is difficult, and you want to leave for a new girlfriend. It’s unclear what you should do but it is clear you’ve been making decisions without thinking about the complications. Us: https://t.co/VOm63Hc41r, https://t.co/uaoP3ZvxU7
Say you are near 60 and don’t like your job but it’s stable, well paid, and guaranteed until 70. Very risky at 60 to change jobs unless you are financially stable for life and can take the huge risk that your new job may only last a few years.
Career confusion? Search for your terms, like “graphic designer Tokyo” on a job site. What skills do they want: language, software, that you need to already have mastered. Then you’ll see the hurdles you need to clear and the path you need to take realistically.
How should you react when your alcoholic spouse falls off the wagon? The trick: expect relapses and work with your spouse to keep relapses to a minimum. Only retreat in stages if the situation is untenable.
What is “insight” in psychiatry? It’s the ability to see oneself. If it’s poor, then patients frequently do not cooperate to get treatment and don’t get well. What to do? When all fails, have the serenity to accept the person is not going to get better.
Arguments are one thing, escalations are another, some parties stubbornly refuse to stop arguing about little things. Answer? One party agrees to give-in as a default strategy to decrease fights.. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
He drives too fast, pushes me if I’m in the way, always doing lots of sports, wants me to hike 5 hours when I’m newly pregnant, why? If he needs to sleep then probably he’s hyperactive. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t
Will everyone be depressed after death of a parent? Not necessarily. A death can make one realize life is short and move-on in their lifeline: get married, start their own family, go to school, etc. Us: https://t.co/xJKjtzIjZq, https://t.co/bggAMvY10t